WOMEN’S HEALTH • FERTILITY CARE
Low AMH & Diminished Ovarian Reserve
Understand what low AMH may indicate about ovarian reserve and how personalized fertility planning can help guide your next steps.
What does low AMH mean?
Anti-Müllerian Hormone (AMH) is one marker used to assess ovarian reserve, or the remaining egg supply. A low AMH may indicate reduced ovarian reserve, but it does not by itself determine whether pregnancy is possible.
What can affect ovarian reserve?
Ovarian reserve can vary between women and may be influenced by several factors.

Age

Previous ovarian surgery

Endometriosis

Certain medical treatments

Genetic factors

Natural decline in ovarian reserve
Are there symptoms of low AMH?
Low AMH usually does not cause specific symptoms.

Regular periods may still occur

Menstrual changes may occur with age

Reduced response to stimulation may occur

Fewer follicles may be seen on ultrasound

Fertility may become more challenging

Pregnancy may still be possible
How is ovarian reserve evaluated?
AMH is assessed alongside other findings to understand ovarian function.
1. Medical History
We review age, fertility history and relevant medical factors.
2. AMH Testing
A blood test measures Anti-Müllerian Hormone levels.
3. Antral Follicle Count
Ultrasound assesses the number of visible antral follicles.
4. Overall Fertility Assessment
Other reproductive factors are evaluated before treatment decisions are made.
Fertility Options for Low AMH
Treatment focuses on making appropriate use of the available reproductive potential.
Fertility Planning
Early evaluation may help guide treatment decisions.
Ovulation Induction
May be considered in selected cases.
IUI
May be appropriate when other fertility factors are favorable
IVF
May help provide an opportunity to retrieve and fertilize available eggs.
Individualized Stimulation
Medication protocols are planned according to ovarian response.
Frequently Aksed Questions?
1. Does low AMH mean I cannot get pregnant?
No. AMH alone cannot predict whether you can become pregnant.
2. Can AMH levels improve?
AMH generally reflects ovarian reserve and should not be viewed as a fertility score.
3. Does low AMH affect IVF?
It may be associated with a lower number of eggs retrieved during IVF.
4. Is IVF necessary with low AMH?
Not always. Treatment depends on age, ovarian reserve and other fertility factors.
5. Does low AMH mean poor egg quality?
No. AMH mainly reflects ovarian reserve, not egg quality.
6. Should I delay treatment if my AMH is low?
Discuss your results with a fertility specialist to understand your options and timing.
Know your ovarian reserve. Plan your fertility with clarity.
Get a personalized assessment of your reproductive health